Finding 971076 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
$1
Year
2023
Accepted
2024-04-25
Audit: 304542
Organization: Senior Services Plus, Inc. (IL)
Auditor: Scheffel Boyle

AI Summary

  • Core Issue: Billing reports for nutrition and transportation services did not match daily records, leading to incorrect charges to AgeSmart Community Resources.
  • Impacted Requirements: Monthly billing reports must align with detailed transportation records as per funding guidelines.
  • Recommended Follow-Up: Consider hiring expertise or training staff, and implement a monitoring process to ensure accurate billing and compliance with funding agency procedures.

Finding Text

Department of Health and Human Services AL #93.044 Aging Cluster; Title III-B Passed through AgeSmart Community Resources Criteria – The Organization is to provide monthly billing reports for reimbursement from AgeSmart Community Resources based on the daily transportation records for the Reporting requirement. These records should agree to the totals billed to AgeSmart. Statement of Condition – The Organization filed billing reports for nutrition and transportation services to AgeSmart Community Resources that did not agree to the nutrition and transportation detail records. Questioned Costs – The amount of known questioned costs was $540 and total likely questioned costs were below the $25,000 threshold as outlined by section 200.516 of the Uniform Guidance. Effect of Condition – The Organization incorrectly billed the funding organization. Cause of Condition – The Organization’s staff erroneously made mathematical errors and incorrectly billed all 5-meal deliveries selected for testing as 7-meal deliveries. Recommendation – The Organization should consider the costs and benefits of hiring additional expertise or training existing staff, as well as, implementing a monitoring process to ensure the Organization’s billings are accurate and in accordance with the procedures prescribed by the funding agency. Management’s Response – The Organization will review procedures and processes around reporting of units; implementing a double check system between the clerk and supervisor to reduce the risk of human error in logging units. Review of practices regarding adjustments to units will be completed and procedures will be updated. Quarterly audits will be implemented to ensure accuracy.

Categories

Questioned Costs Subrecipient Monitoring Cash Management Reporting

Other Findings in this Audit

  • 394634 2023-001
    Significant Deficiency
  • 394635 2023-002
    Significant Deficiency
  • 971077 2023-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $949,718
94.011 Foster Grandparent Program $472,082
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $123,897
93.042 Special Programs for the Aging_title Vii, Chapter 2_long Term Care Ombudsman Services for Older Individuals $57,636
93.268 Immunization Cooperative Agreements $34,704
93.779 Centers for Medicare and Medicaid Services (cms) Research, Demonstrations and Evaluations $5,800
93.324 State Health Insurance Assistance Program $3,500
93.041 Special Programs for the Aging_title Vii, Chapter 3_programs for Prevention of Elder Abuse, Neglect, and Exploitation $900